PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
This activity links with the Project Concern International (PCI) and JHPIEGO's assistance to the Zambia
Defense Force (ZDF) comprehensive HIV/AIDS care and treatment programs including Palliative Care
TB/HIV and ART programs. The administration of this will be done by the DOD PEPFAR office in Lusaka.
The program will contribute to improved service delivery in HIV care and treatment through System
Strengthening and Policy Development. In FY 2005, FY 2006 and FY 2007 DOD supported the Defense
Force Medical Services (DFMS) and the Ministry of Defense in coming up with a draft HIV and AIDS Policy.
This policy was developed through a series of broad based consultative process involving various stake
holders and cooperating partners. After a successful process, the commanders from Zambia Army (ZA),
Zambia Airforce (ZAF) and Zambia National Service (ZNS)assented to the document which was officially
launched by the Minister of Defense in August 2008. The HIV and AIDS Policy, a landmark achievement for
the Defense Force is now available for reference. More funds will be utilized to assist the ZDF come up with
an HIV and AIDS Strategic Plan. This document is important because it will operationalize the HIV and
AIDS policy.
Family Support Unit: This is a multidisciplinary clinic to include the programs on opportunistic infection
management/prevention, palliative care, and post exposure prophylaxis programs, among others. Using
funds from this activity, health care providers from the DOD and San Diego civilian sector will offer technical
assistance, train providers, and mentor/twin with ZDF counterparts at Maina Soko Military Hospital (MSMH),
to develop a joint ARV services/FSU multidisciplinary clinic for their HIV positive patients and their families.
ZDF practitioners will also visit Naval Medical Centre, San Diego to engage with their counterparts, learn
best practices and improve their professional knowledge. This activity will materially strengthen ARV
services, palliative care services, and orphan and vulnerable children (OVC) services delivered at MSMH,
with the ultimate intent that MSMH will become the premier military academic medical site in Zambia.
Positive living/Prevention for Positives workshops: Guidelines and materials for positive living and
Prevention for Positives workshops were developed with the assistance of Naval Medical Center San Diego
(NMCSD). In FY 2007 and FY 2008, workshops were conducted to disseminate this information and 60
care givers were trained. In FY 2009, these workshops will continue, in conjunction with PCI's basic health
care and support activity.
Zambian Defense Force School of Health Sciences (ZDSHS) has been opened to recruit more military
health providers. The school will be supported with technical assistance and linking with other international
schools like the University of San Marcos. Another key focus will be ensuring that HIV/AIDS training is
incorporated in pre-service training as opposed to in service training. This is important because the ZDF
medical personnel are used as a backstop when Zambia's medical personnel are either on strike or
overwhelmed by a disaster. Building the capability of the ZDF medical staff is beneficial to the entire nation.
To address the crippling lack of nursing resources in the ZDF as well as augment civilian care in Zambia,
DOD/SD civilian sector nurses will work with and mentor nursing students at the college and train them in
basics of palliative care and community health for persons with HIV/AIDS. Additional
technical/programmatic assistance will be offered by the Naval School of Health Sciences, San Diego.
Infectious Diseases Institute (IDI): DOD has negotiated an opportunity to send nurses and clinical officers
for two week trainings at the IDI at Makerere University in Uganda. This training provides instruction on
care and treatment of HIV/AIDS patients, including ARV services, and has proven highly cost-effective in
increasing the number of clinical providers within the ZDF. The ZDF medical staff have not benefited from
the trainings conducted for the government health workers. From FY 2005 to FY 2008, the DOD PEPFAR
office has supported the DFMS in sending clinical officers and nurses identified from the model sites for
specialist care training. This has helped in building capacity of medical personnel at the model sites and will
enable the provision of comprehensive HIV/AIDS care and treatment services. In FY 2008, clinical officers
and nurses from the final model sites will be sent to this course. These clinical officers and nurses trained at
all the modal sites will act as trainers of trainers and will be training others in the surrounding regions. In
addition, laboratory personnel may receive laboratory training at IDI. In FY2009, ZDF medical officers will be
sent to IDI for training in HIV/AIDS management. Other course to be offered to ZDF medical personnel will
include laboratory staff to enhance HIV testing.
Military International HIV Training Program (MIHTP): Other activities will be maintaining direct partnerships
with NMCSD. The United States Navy has worked in conjunction with the University of California San Diego
(UCSD) in training foreign military physicians on antiretrovirals, opportunistic infections, statistics,
computers, and management of HIV infected DoD personnel. Zambia has participated in this training and
has visited the NMCSD multidisciplinary HIV clinic. Physicians from NMCSD have visited the main military
hospital in Zambia and have identified areas where NMCSD can provide assistance. In FY 2009, DOD/SD
civilian health care providers will expand their trainings to ZDF clinics outside of Lusaka. NMCSD will
coordinate and see to the dissemination and implementation of the palliative care guidelines. This also
involves training of the Positive Living Group during the Stay Healthy Program to continue supporting
PLWHA and their support groups in the ZDF.
Northern Command Hospital: The Zambia Defense Force has recently acquired a hospital in Ndola on the
Copperbelt Province. This institution will be referral center and will be a common user service and cater for
the health care needs of all the three services mentioned above. This is will be a referral hospital and will
cater for the North Western, Luapula, Northern and Copperbelt provinces. MSMH has been the only military
referral hospital since 1975 and the opening of the Northern Command Hospital will help to alleviate the
burden on MSMH. Once plans have been finalised, DOD will work closely with ZDF leadership to
strengthen the HIV/AIDS unit of this hospital, the laboratory and the family support unit.
Whenever possible, DOD will continue to increase gender equity in human capacity development by training
equal proportions of males and females in all the programs. These activities will enhance the capacity for
ZDF to deliver a well coordinated and comprehensive fight against HIV and will enhance sustainability.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14634
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14634 9172.08 Department of US Department of 6891 3050.08 DoD - Defense $150,000
Defense Defense Attache Office
Lusaka
9172 9172.07 Department of US Department of 5031 3050.07 DoD - Defense $223,849
Emphasis Areas
Military Populations
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $100,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.18:
In FY 2005, Department of Defense (DOD) created two positions to be responsible for all DOD funded
PEPFAR activities at Embassy Lusaka. The two positions were 1) Program Manager and 2) Program
Coordinator. An additional member of staff was recruited called a Program Officer to mitigate the increase
of duties and activities in the program. The program is under the direction and leadership of the Defense
Attaché at post. The program staff works very closely with the Zambia PEPFAR country team and other
stakeholders. A key government partner is the Defense Force Medical Services under the Zambia Defense
Forces.
The DOD PEPFAR Program Manager oversees the overall program which covers activities in almost all
program areas and has three partners implementing programs directly with the host government military.
The major duties of the manager include serving as the Defense Attaché Office's (DAO) principal advisor on
HIV/AIDS military programs in Zambia, providing support for Post's PEPFAR Committee and Post's
PEPFAR advisory group, representing DOD PEPFAR programs and liaising with the Government of
Zambia, other donors and USG implementing partners for coordination, information sharing and other
administrative issues. The Manager is also responsible for overseeing partners working with the Defence
Force Medical Services (DFMS) and these are Project Concern International (PCI), American International
Health Alliance (AIHA) and Jhpiego. The manager is also responsible for the monitoring and evaluation and
financial management of the program and interacts closely with the Finance Office at post as well as the
Defense HIV/AIDS Prevention Program (DHAPP) in San Diego. The Manager sits on various in country
technical working groups TWGs as a DOD representative. This position supervises the DAO PEPFAR
Project Coordinator and Program Officer.
The Project Coordinator is responsible for logistics and administrative support as well as contribution to
assessment, planning and monitoring of the DOD program. The coordinator also acts as a primary contact
for DOD funded infrastructure development program, plans and coordinates the projects with the
Contracting Officers at the Regional Procurement Support Offices (RPSO) and interacts closely with the
building experts at Ministry of Works and Supply (MOWS). The coordinator also facilitates the procurement
of furniture and medical equipment for the sites and all office supplies and monitors the construction budget
and provides feedback. The coordinator also sits on various in country technical working groups to
represent DOD funded activities.
The Program Officer was hired in February 2008, and is responsible for the clinical programs that DOD is
implementing. The officer also serve as an additional resource for M&E support and is responsible for
overseeing, monitoring and provides technical support to the program. The officer is also responsible for
conducting regular quality assurance checks and monitoring partner activities. The program officer
contributes to assessment, planning, monitoring and evaluation of the DOD program. M&E support will
involve assessment of tools that partners use to collect data and visitation of ZDF medical services facilities.
The officer also sits on various in country technical working groups to represent DOD funded activities.
The management budget covers salaries, administrative costs such as communication, printing and other
material costs, vehicle maintenance, office equipment, and travel costs including international travel (for
training, meetings and conferences), Core Team travel, and local travel (assessment, M&E and supervisory
visits). The funding also covers per-diem and other logistical supports for the MOWS and the coordinator in
a process of assessment, reviewing, M&E, and quality assurance of the construction sites. The use of the
MOWS technical expertise enables a substantial cost savings in comparison with using contracted or USG
labor. This also ensures that all structures are added to the Government pool and are catered for future
maintenance and expansion plans if necessary.
Continuing Activity: 14635
14635 3746.08 Department of US Department of 6891 3050.08 DoD - Defense $370,000
9095 3746.07 Department of US Department of 5031 3050.07 DoD - Defense $520,000
3746 3746.06 Department of US Department of 3050 3050.06 $550,000
Defense Defense
Table 3.3.19:
